Carter McDowell/Ocean Drive Investors, LLCCity of Miami Beach Office of the City Clerk
1700 Convention Center Drive, Miami Beach, FL 33139
LOBBYIST REGISTRATION FORM
Lobbyist means all persons employed or retained, whether paid or not, by a principal who seeks to encourage the passage,
defeat or modification of any ordinance, resolution, action or decision of any commissioner; any action, decision,
recommendation of the City Manager or any city board or committee; or any action, decision or recommendation of any city
personnel during the time period of the entire decision-making process on such action, decision or recommendation that
foreseeably will be heard or reviewed by the city commission, or a city board or committee. The term specifically includes the
principal as well as any employee engaged in lobbying activities. The term "Lobbyists" has specific exclusions. Please refer
to Ordinance 2004-3435.
MCDOWELL CARTER N•
NAME OF LOBBYIST: (Last) (First) (M.I)
Bilzin Sumberg Baena Price & Axelrod LLP 200 So Biscayne Boulevard Miami Florida 33131
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) Zip Code)
(305)350 2355 305-351-2239 CMcDowell(cr7bilzin.com
TELEPHONE NUMBER: FAX NUMBER: EMAIL:
LOBBYIST RETAINED BY:
OCEAN DRIVE INVESTORS LLC
NAME OF PRINCIPAL/CLIENT:
9100 So. Dadeland Blvd. Suite 1809 Miami FI 33156
BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
(305) 670-5220
TELEPHONE NUMBER: FAX NUMBER: (Optional) EMAIL: (Optional)
Fill out this section if principal is a Corporation, Partnership or Trust [Section 2-482 (c)]
• NAME OF CHIEF OFFICER, PARTNER, OR BENEFICIARY: Sam Nevel - David Goldweitz
• IDENTIFY ALL PERSONS HOLDING, DIRECTLY OR INDIRECTLY, A 5% OR MORE OWNERSHIP
INTEREST IN SUCH CORPORATION, PARTNERSWIP OR TRUST:
II. SPECIFIC LOBBY ISSUE:
350 Ocean Drive -The Wave Hotel -conditional use permit
Issue to be lobbied (Describe in detail):
III. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
A) Full Name of Individual/Title B) Any Financial, Familial or Professional Relationship ~_~ ^c,'
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Historic Preservation Board/staff ~ ~"
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none
Planning Board/staff ~~~'`- rv
none ==`~ ~''
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IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLAT RATE OR OTHER)
A) LOBBYIST DISCLOSURE: (Required) $535 00
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). $535.00
The following information must be answered:
1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists On
Procurement Issues":
^ Yes /No• Are you lobbyinq on a present or pendinq bid for goods equipment or services or on a present or
pendinq award for goods, equipment or service?
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Campaign Contributions By Lobbyists On Real Estate
Development Issues":
^ Yes / No• Are you lobbyinq on a pendinq application for a Development Agreement with the City or application
for change of zoning map designation or change to the City s Future Land Use Map?
3) Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt from the definition of "lobbyist" as set
forth in Section 2-481 above) who only appears as a representative of anot-for-profit corporation or entity without
special compensation or reimbursement for the appearance, whether direct, or indirect, to express support of or
opposition to any item, shall register with the clerk as required by this section but, shall not be required to pay any
registration fees..
^ Yes /No• Are you representing a not-for-profit corporation or entity without special compensation or
reimbursement?
V. SIGNATURE UNDER OATH:
ON OCTOBER 151 OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CI CLERK A SIGNED STATEMENT
UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSAT RECEIVED, IN THE CI Y OF MIAMI
EXPENDITOURES OR COMPENSATION DURING THE REPORT NG PER OLL/~V~~~~ ERE )9 E BEEN NO
Signatui'~'of Lobbyist
IAMI
~/ 19/08
I do solemnly swear that all of the foregoing facts are
contained in Section 2-482 of the Miami Beach City C9
Signature of Lobbyist:
Signature of Principal/Client:
correct and that I have read or am familiar with the provisions
repq,~tin4 requirements.
VI. LOBBYIST IDEN T N: ~ ~r
I I Produced ID
/ F IBiS I)IAZ
e.1~!' Personally known (
.~~ „ „I••.a MY COMM~I S IMO Y 18 ~ 0254
VII. SIGNATURE AND STA ~'~~.~,, -Tm~,~.mi~.M~
State of Florida, County of Miami-Dade
Sworn to and sub cribed before me
This~_ day of~~s~- , 2008.
Signature of Public Notary -State of Florida
Aln4ari~a4inn of I nhhvic4'c cinnafilYP
PRINCIPAL IDENTIFICATION: Sam B. Nevel
^ Produced ID
Form of Identification
^ Personally known (Principal)
_` ' ~v
~~ c,
State of Florida, County of Miami-Dade -Y'~°
Sworn and subscribed before me ~'' "~°-
This day of , 2008. ~~
- ~ `.: ~
Signature of Public Notary -State of Floriifa . y
Notarization of Principal's signature ~'=` ra, ""~
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FOR CLER~S U1SE ONLY u-j ,~J
Annual Registration fee: [ J Yes [ ] No Amount Paid ,- ~ MCR # Date Paid
LFO\bblyFist~R~eglgis~trNlatgioRn Form received and verified by: ~~ i ~~
15GI~17.R700D~601391A-M\Lobbyist\LOBBYIST FORM 05.doc ~ y.,-~~' L k~) ~ Revised 12/08/ 4
IV. DISCLOSURE OF TERMS AND AMOUNTS OF LOBBYIST COMPENSATION (DISCLOSE WHETHER HOURLY,
FLAT RA TE OR OTHER)
A) LOBBYIST DISCLOSURE: (Required) $535 00
B) PRINCIPAL'S DISCLOSURE (OF LOBBYIST COMPENSATION): (Required). 535.60
The following information must be answered:
1) Pursuant to Miami Beach City Code Section 2-488 Entitled "Prohibited Campaign Contributions By Lobbyists On
Procurement Issues":
^ Yes /No• Are you lobbvinq on a present or pending bid for Moods eouipment or services or on a present or
pending award for goods, equipment or service?
2) Pursuant to Miami Beach City Code 2-490 Entitled "Prohibited Gampaign Contributions By Lobbyists On Real Estate
Development Issues":
f7 Yes / No' Are you lobbvinq on a pendlng application for a Development Agreement with the City or application
for change of zoning map designation or change to the City's Future Land Use Map?
3) Pursuant to Miami Beach City Code 2-484 (h) Any person (except those exempt from the definition of "lobbyist" as set
forth in Section 2-481 above) who only appears as a representative of gnat-for-profit corporation or entity without
special compensation or reimbursement for the appearance, whether direct, or indirect, to express support of or
opposition to any item, shall register with the clerk as required by this section but, shall not be required to pay any
registration fees..
^ Yes /No• Are you representing a not-for-profit corporation or entity without special compensation or
reimbursement?
V. SIGNATURE UNDER OATH:
ON OCTOBER 1" OF EACH YEAR, EACH LOBBYIST SHALL SUBMIT TO THE CITY CLERK A SIGNED STATEMENT
UNDER OATH, LISTING LOBBYING EXPENDITURES, AS WELL AS COMPENSATION RECEIVED, IN THE CITY OF MIAMI
BEACH FOR THE PRECEDING CALENDAR YEAR. A STATEMENT SHALL BE FILED EVEN IF THERE HAVE SEEN NO
EXPENDITURES OR COMPENSATION DURING THE REPORTING PERIOD.
Signature of Lobbyist
M[AMi
8/21 /08
I do solemnly swear that all of the foregoing facts are true and correct and that I have read or am familiar with the provisions
contained in Section 2-482 of the Miami Beach City Cade and all reporting requirements.
Signature of Lobbyist:
Signature of Principal/Client: v v
David oldw
VI. LOBBYIST IDENTIFICATION: Carter McDowell
_ Produced ID
Form of Identification
Personally known (Lobbyist)
Vli. SIGNATURE AND STAMP OF NOTARY:
State of Florida, County of Miami-Dade
Sworn to and subscribed before me
This day of , 2008.
Signature of Public Notary -State of Florida
Notarization of Lobbyist's signature
IDENTIFICATION:
_. Produced ID
Form of Identification
?C Personally known (Principal)
State of Florida, County of Miami-Dade
Sworn and subscri d before me
This'd ~ day of u,.iF . 2 8 ~TARY ppgLIC-STATE OF FLO]iIDA
Signature. Public Notary - State o ary Ann Weeks
Notarization of Principal's signet ,Commission ~ DD5071b1
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FOR CLERK'S USE OI
Annual Registration fee: [ ]Yes [ ] No Amount Paid
Lobbyist R~eagistration Form received and verified by:
~6~$~FT.IR1TOOb6~t~lA-MlLobbyist1L08BYIST FORM 05.doc
MCR # Date Paid
Revised 12/08/04
MIAMI BEACH
City of Miami Beach, 1700 Convention Center Drive, Miami Beach, Florida 33139,
~vww. miam ibeachfl. Gov
LOBBYIST NAME: Carter N. McDowell
I understand that no later than October 1st of each year, I must file the following forms, pursuant
to Section 2-485 of the Miami Beach City Code, with the City Clerk's Office for all active lobbying
issues.
1) Lobbyist Expenditure Form
2) Disclosure Form
Failure to file these forms on a timely basis will result in my name being transmitted to the Miami-
Dade County Commission on Ethics and for code violation evaluation.
In addition, once an issue I have registered to lobby on has been resolved, I am required to
immediately notify the City Clerk's Office of lobbyist withdrawal in writing.
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Signature: Date: